Medical Alarm Design
PATIENT SAFETY PRIMERS
Device-related Complications (9)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (2)
Medication Safety (9)
Medical Complications (8)
Nonsurgical Procedural Complications (2)
Surgical Complications (5)
Psychological and Social Complications (1)
North America (33)
Journal Article (17)
Newspaper/Magazine Article (17)
Press Release/Announcement (1)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (5)
Active Errors (6)
Latent Errors (2)
Approach to Improving Safety
Medical Alarm Design
Health Care Providers (21)
Health Care Executives and Administrators (29)
Non-Health Care Professionals (28)
Setting of Care
Ambulatory Care (1)
Outpatient Surgery (2)
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Safety still compromised by computer weaknesses.
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.
Raschke RA, Gollihare B, Wunderlich TA, et al. [published correction appears in JAMA. 1999;281:420]. JAMA. 1998;280:1317-1320.
"Plug and Play" hospitals: medical devices that exchange data could make hospitals safer.
Grifantini K. Technol Rev. July 9, 2008.
Reducing alarm hazards: selection and implementation of alarm notification systems.
Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17.
Predictive combinations of monitor alarms preceding in-hospital code blue events.
Hu X, Sapo M, Nenov V, et al. J Biomed Inform. 2012;45:913-921.
The enterprise take on patient safety.
Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.
Improving alarm performance in the medical intensive care unit using delays and clinical context.
Görges M, Markewitz BA, Westenskow DR. Anesth Analg. 2009;108:1546-1552.
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
One group of doctors changes its ways.
Hallinan JT. Post-Gazette.com. June 21, 2005.
Clinical alarms: improving efficiency and effectiveness.
Phillips J, Barnsteiner JH. Crit Care Nurs Q. 2005;28:317-323.
A review of current and emerging approaches to address failure-to-rescue.
Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.
Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis.
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
SPECIAL OR THEME ISSUE
Bagian JP, ed. Hum Factors Ergon Manuf Serv Ind. 2012;22:1-95.
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
Clinical alarms: complexity and common sense.
Phillips J. Crit Care Nurs Clin North Am. 2006;18:145-156.
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
ISMP Medication Safety Alert! April 8, 2010;15:1-3.
Wrist tag 'offers drug warning.'
BBC News. August 9, 2005.
The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.
Risk of electromagnetic interference with medical telemetry systems operating in the 460-470 MHz frequency bands.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 16, 2005.
'Alarm fatigue’ a factor in 2nd death.
Kowalczyk L. Boston Globe. September 21, 2011.
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